Provider Demographics
NPI:1184938508
Name:STEWART, DONALD W (DDS)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:W
Last Name:STEWART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14950 SE ALLEN RD STE C
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1655
Mailing Address - Country:US
Mailing Address - Phone:425-746-2038
Mailing Address - Fax:425-746-0915
Practice Address - Street 1:14950 SE ALLEN RD STE C
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1655
Practice Address - Country:US
Practice Address - Phone:425-746-2038
Practice Address - Fax:425-746-0915
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist